Improved stomatognathic model for highly realistic finite element analysis of temporomandibular joint biomechanics

IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Journal of the Mechanical Behavior of Biomedical Materials Pub Date : 2024-10-15 DOI:10.1016/j.jmbbm.2024.106780
Yunfan Zhu , Jinyi Zhu , Deqiang Yin , Yang Liu
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Abstract

Background

Mechanical response analysis of the temporomandibular joint (TMJ) is crucial for understanding the occurrence and development of diseases. However, the realistic modeling of the TMJ remains challenging because of its complex composition and multivariate associations.

Objective

This study aims to develop a highly realistic stomatognathic model that accurately represents the geometric accuracy, structural integrity, and material properties. And further optimizes the interference and establishes the application range of the simplifications and the assumptions.

Methods

Geometric reconstruction of the bone was based on high-resolution image data, with the accuracy of the occlusal surface ensured by plaster cast model registration. Soft tissues such as cartilage, the disc, the periodontal ligament (PDL), and disc attachments often need to be approximated or assumed. Therefore, the finite element methods (FEM) was used to optimize these assumptions, including 1) the biomechanical effects of the thickness and modulus of the PDL, 2) the approximation of the geometry and material behavior of the disc, and 3) the simplification of the loading and boundary conditions.

Results

1) The deformation of the PDL causes tooth movement, which spreads to the distal condyle and further effects the TMJ load situation, 2) Disc reconstructed by MRI and hyperelastic material behavior are necessary for accurate TMJ loading analyses, 3) The loss of relative sliding movement between teeth interferes with realistic TMJ loading.

Conclusion

The improved stomatognathic model delivers highly realistic and validated simulation, offering theoretical guidance for virtual treatments and TMJ multivariate overload studies.

Abstract Image

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用于颞下颌关节生物力学高逼真度有限元分析的改进型口颌模型。
背景:颞下颌关节(TMJ)的机械响应分析对于了解疾病的发生和发展至关重要。然而,由于颞下颌关节的复杂构成和多变量关联,颞下颌关节的逼真建模仍具有挑战性:本研究旨在开发一个高度逼真的口颌模型,该模型能准确地表现颞下颌关节的几何精度、结构完整性和材料特性。并进一步优化干扰,确定简化和假设的应用范围:方法:骨骼的几何重建基于高分辨率的图像数据,咬合面的精确度通过石膏模型登记来保证。软组织,如软骨、椎间盘、牙周韧带(PDL)和椎间盘附件通常需要近似或假设。因此,我们使用有限元方法(FEM)来优化这些假设,包括:1)PDL 厚度和模量的生物力学效应;2)椎间盘几何形状和材料行为的近似;3)加载和边界条件的简化:1)PDL 的变形会导致牙齿移动,这种移动会扩散到远端髁状突,进一步影响颞下颌关节的负荷情况;2)磁共振成像重建的椎间盘和超弹性材料行为是精确颞下颌关节负荷分析的必要条件;3)牙齿之间相对滑动运动的丧失会干扰真实的颞下颌关节负荷:结论:改进后的口颌模型提供了高度逼真和经过验证的模拟,为虚拟治疗和颞下颌关节多元过载研究提供了理论指导。
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来源期刊
Journal of the Mechanical Behavior of Biomedical Materials
Journal of the Mechanical Behavior of Biomedical Materials 工程技术-材料科学:生物材料
CiteScore
7.20
自引率
7.70%
发文量
505
审稿时长
46 days
期刊介绍: The Journal of the Mechanical Behavior of Biomedical Materials is concerned with the mechanical deformation, damage and failure under applied forces, of biological material (at the tissue, cellular and molecular levels) and of biomaterials, i.e. those materials which are designed to mimic or replace biological materials. The primary focus of the journal is the synthesis of materials science, biology, and medical and dental science. Reports of fundamental scientific investigations are welcome, as are articles concerned with the practical application of materials in medical devices. Both experimental and theoretical work is of interest; theoretical papers will normally include comparison of predictions with experimental data, though we recognize that this may not always be appropriate. The journal also publishes technical notes concerned with emerging experimental or theoretical techniques, letters to the editor and, by invitation, review articles and papers describing existing techniques for the benefit of an interdisciplinary readership.
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